摘要
目的探讨超声引导下经皮肾镜取石术的临床疗效和安全性。方法将68例肾结石患者随机分为研究组和对照组,每组各34例,研究组采用超声引导下经皮肾镜取石术,对照组采取肾窦内肾盂切开取石术,比较两组患者术中平均输血量、平均手术时间、术后并发症发生情况、结石清除率、结石复发率、下床活动时间及住院时间等。结果①研究组术中平均输血量为(242.3±107.4)ml,平均手术时间为(1.1±0.5)h;对照组患者术中平均输血量为(861.8±132.5)ml,平均手术时间为(2.6±1.0)h,两组比较差异有统计学意义(P<0.05)。②研究组结石清除率为94.1%,结石复发率为11.8%;对照组结石清除率为88.2%,结石复发率为14.7%(P>0.05);研究组并发症发生率为29.4%,对照组并发症发生率为55.9%(P<0.05)。③研究组患者下床活动时间为(6.4±2.0)d,平均住院时间为(14.5±5.1)d;对照组患者下床活动时间为(12.8±4.8)d,平均住院时间为(25.7±7.8)d(P<0.05)。结论超声引导下经皮肾镜取石术治疗肾结石操作简便,使用安全,对患者创伤较小,值得临床上广泛推广。
Objective To evaluate the clinical efficacy and safety of performing ultrasound-guided minimally invasive percutaneous nephrolithotomy for the management of renal calculi.Methods Sixty-eight patients with renal calculi were randomly divided into study group and control group（each n=34）.The patients in study group received ultrasound-guided invasive percutaneous nephrolithotomy,while the patients in control group were treated with intrasinusal pyelolithotomy.The average volume of transoperative blood transfusion,the mean operation time,occurrence of postoperative complications,stone-free rate,stone recurrence rate,ambulation time and hospitalization duration were compared between the two groups.Results The average volume of transoperative blood transfusion was（242.3±107.4） ml and the mean operation time was（1.1±0.5） h in study group;the average volume of transoperative blood transfusion was（861.8±132.5） ml and the mean operation time was（2.6 ± 1.0） h in control group;and the difference was statistically significant（P0.05）.Stone-free rate and stone recurrence rate in study group were 94.1% and 11.8% respectively,while those in control group were 88.2% and 14.7%（P0.05）.The incidence rate of postoperative complications in study group was 29.4%,while that in control group was 55.9%（P0.05）.The ambulation time and average hospitalization duration in study group were（6.4±2.0） d and（14.5±5.1） d respectively,while those in control group were（12.8 ± 4.8） d and（25.7±7.8） d,（P0.05）.Conclusions Ultrasound-guided minimally invasive percutaneous nephrolithotomy is a simple,safe,and less traumatic method for treatment of patients with renal calculi.It is worthy of being popularized in clinical practice.
出处
《实用预防医学》
CAS
2011年第9期1720-1721,共2页
Practical Preventive Medicine
关键词
经皮肾镜取石术
切开取石术
超声引导
临床疗效
Percutaneous nephrolithotomy
Intrasinusal pyelolithotomy
Ultrasound-guided
Clinical efficacy
